Individual provider · Type 1 NPI

Praveen Kumar Gajendrareddy, DDS

Periodontics · Chicago, IL

NPI number 1265675680 Active

Practice location

801 S Paulina St, M/c 621
Chicago, IL 60612-7210

Mailing address

1841 Maine Dr
Elk Grove Village, IL 60007-2728

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X021.002403 (IL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1265675680

Praveen Kumar Gajendrareddy, DDS's National Provider Identifier is 1265675680, issued on Apr 15, 2009. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Chicago, IL. The record was last updated on Dec 13, 2011.